Individual provider Active NPI

Adekola Alao, M.D.

  • Psychiatry Physician
  • Syracuse, NY
National Provider Identifier
1265457196
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
213408 Issued in NY
Practice address
750 E Adams St
Syracuse, NY 13210-2306
Phone
(315) 464-5631
Fax
(315) 464-3163
NPI assigned
Jul 13, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 213408 NY Primary

Addresses

Primary practice location

750 E Adams St
Syracuse, NY 13210-2306

Mailing address

750 E Adams St
Syracuse, NY 13210-2306
Phone (315) 464-5631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040316000744 NY Practitioner - Psychiatry 3476443383 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3045 E Ave
Central Square, NY 13036-2611
Phone 31529865692020

3070 Belgium Rd
Baldwinsville, NY 13027-9546
Phone (315) 638-0979

61 Delano St
Pulaski, NY 13142-1400
Phone (315) 298-6569

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Crouse Health Hospital, Inc. CurrentSince Jan 1, 2008 Accepting new patients
Upstate Psychiatry, PC Psychiatry CurrentSince Jun 15, 2016 Accepting new patients
Northern Oswego County Health Services, Inc. CurrentSince Jul 1, 2017 Accepting new patients
Crouse Health Hospital Inc Psychiatry CurrentSince Jan 1, 2008 Accepting new patients
Fayetteville Family Physician, PLLC Past Accepting new patients

Locations

3070 Belgium Rd
Baldwinsville, NY 13027
Phone (315) 635-5700

6834 E Genesee St
Fayetteville, NY 13066
Phone (315) 256-1226

510 S 4th St
Ste 600
Fulton, NY 13069
Phone (315) 598-4790

61 Delano St
Pulaski, NY 13142
Phone (315) 298-4274

1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488

725 Irving Ave
Ste 402
Syracuse, NY 13210
Phone (315) 470-7747

736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265457196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 E ADAMS ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102306",
            "telephone_number": "315-464-5631",
            "fax_number": "315-464-3163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E ADAMS ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102306",
            "telephone_number": "315-464-5631",
            "fax_number": "315-464-3163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAO",
        "first_name": "ADEKOLA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "213408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.